Brent D. Michaels, DO, Dermatology Resident (PGY-2), Valley Hospital Medical Center, Las Vegas, Nevada; James Q. Del Rosso, DO, FAOCD, Dermatology Residency Director, Valley Hospital Medical Center, Las Vegas, Nevada, and Director of Dermatology Research, Mohave Skin & Cancer Clinics, Las Vegas, Nevada;
Narciss Mobini, MD, University of Nevada School of Medicine, Las Vegas, Nevada; Jason R. Michaels, MD, Clinical Instructor (Dermatology), Valley Hospital Medical Center, Las Vegas, Nevada Read the rest of this article »

Susun Bellew, DO; James Q. Del Rosso, DO, FAOCD
Valley Hospital Medical Center, Las Vegas, Nevada Read the rest of this article »

Magalys Vitiello, MD, Clinical Dermatology Research Fellow, Florida Academic Dermatology Center/University of Miami Hospital, Miami, Florida; Begoña Echeverria, MD, Dermatology Resident (PGY-3 ), Instituto Valenciano de Oncologia, Valencia, Spain; Paolo Romanelli, MD, Associate Professor, Miller School of Medicine, University of Miami Department of Dermatology and Cutaneous Surgery, Miami, Florida; Adriana Abuchar, MD, Clinical Dermatology Research Fellow, Florida Academic Dermatology Center/University of Miami Hospital, Miami, Florida; Francisco Kerdel, BSc, MBBS, Director of Dermatology Inpatient Service, Florida Academic Dermatology Center/University of Miami Hospital, Miami, Florida Read the rest of this article »

aNeal Carlin, BS; bLindaSusan Marcus, MD; aRobert Carlin, MA
aLindaSusan Marcus, MD, Wyckoff, New Jersey; bPrivate Practice, Wyckoff, New Jersey;
Director–Chair, Department of Dermatology, Valley Hospital, Ridgewood, New Jersey Read the rest of this article »

Lidiane Pereira Marques, MD; Beatriz Moritz Trope, MD, PhD; Juliana Carnevale Pina, MD; Tullia Cuzzi, MD, PhD; Marcia Ramos-e-Silva, MD, PhD Read the rest of this article »

MA. Encarnacion R. Legaspi-Vicerra, MD, FPDS and Lawrence Marshall Field, MD, FIACS

MA. Encarnacion R. Legaspi-Vicerra, MD, FPDS is Medical Director, Total Skin Care Center; Visiting Consultant, St. Luke’s Medical Center, Global City, Philippines. Lawrence Marshall Field, MD, FIACS is International Traveling Chair of Dermatologic Surgery (ISDS) Read the rest of this article »

William Kirby, DO, FAOCD, Kirby Dermatology, Beverly Hills, California; Francisca Kartono, DO, Department of Dermatology, Botsford Hospital, Farmington Hills, Michigan; Alpesh Desai, DO, FAOCD, Heights Dermatology, Houston, Texas; Ravneet R. Kaur, BSN, MD, David Geffen School of Medicine at UCLA, Los Angeles, California; Tejas Desai, DO, FAOCD, Heights Dermatology, Houston, Texas; David Geffen School of Medicine at UCLA, Los Angeles, California

Abstract
Widely considered the gold standard treatment option for tattoo removal, the use of Q-switched lasers may very rarely result in the formation of large bulla. While very disconcerting to patients, these lesions are easily managed and, with proper care, heal quickly with no long-term consequences. The authors present three cases of patients who had bullous reactions shortly after receiving Q-switched laser treatment of tattoo ink. Bullous formation in all three patients was treated successfully.  (J Clin Aesthetic Dermatol. 2010;3(1):39–41.) Read the rest of this article »

Amylynne Frankel, MD; Carolin Penrose, MD; Jason Emer, MD
Mount Sinai School of Medicine, Department of Dermatology, New York, New York

Abstract
Cutaneous tuberculosis occurs rarely, despite a high and increasing prevalence of tuberculosis worldwide. Mycobacterium tuberculosis, Mycobacterrium bovis, and the Bacille Calmette-Guérin vaccine can cause tuberculosis involving the skin. Cutaneous tuberculosis can be acquired exogenously or endogenously and present as a multitude of differing clinical morphologies. Diagnosis of these lesions can be difficult, as they resemble many other dermatological conditions that are often primarily considered. Further, microbiological confirmation is poor, despite scientific advances, such as the more frequent use of polymerase chain reaction. The authors report a case that illustrates the challenges faced by dermatologists when considering a diagnosis of cutaneous tuberculosis. (J Clin Aesthetic Dermatol. 2009;2(10):19–27.) Read the rest of this article »

Peter G. Pavlidakey, MD, Department of Pathology, Case Western Reserve University School of Medicine, Cleveland, Ohio; Erin E. Brodell, University of Richmond; Associate Professor of Internal Medicine, Northeastern Ohio Universities School of Medicine, Rootstown, Ohio; Stephen E. Helms, MD, Assistant Professor of Dermatology, Case Western Reserve University School of Medicine, Cleveland, Ohio

Abstract
Patients who present with a history of “allergy” to local anesthetics are common in clinical practice. Injectable 1% diphenhydramine is a safe, inexpensive, and effective local anesthetic for simple dermatological procedures in patients who report “caine” allergies. Utilizing this agent permits the dermatologist to operate at the time of the initial visit and schedule a referral to the allergist for definitive sensitivity testing at the patient’s convenience. (J Clin Aesthetic Dermatol. 2009;2(10):37–40.) Read the rest of this article »

Lisa Gruson, MD; Thomas Berk, BA
New York University School of Medicine

Abstract
Hermansky-Pudlak syndrome is an autosomal recessive disorder of lysosomal storage characterized by the triad of occulocutaneous albinism, bleeding diathesis, and pulmonary fibrosis. Sarcoidosis is a disease characterized by the development of noncaseating granulomas, most commonly affecting the lungs. The pathophysiology, histological findings, clinical symptoms, and treatment of the pulmonary manifestations of Hermansky-Pudlak syndrome are distinct from those of sarcoidosis. As patients with occulocutaneous and bleeding manifestations of Hermansky-Pudlak syndrome may also develop pulmonary fibrosis, the authors present this case to illustrate that pulmonary symptoms must be carefully evaluated in those with this syndrome because in this case, the patient developed underlying pulmonary sarcoidosis. To the authors’ knowledge, this is the first documented case of Hermansky-Pudlak syndrome with concomitant pulmonary sarcoidosis.  (J Clin Aesthetic Dermatol. 2009;2(10):41–44.) Read the rest of this article »